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If you have a dog that you wish to surrender and would like us to consider re-homing it for you then please fill in the surrender questionnaire below. Once submitted we will consider your answers and reasons for surrender and get back to you as soon as possible. We endeavour to try and help whenever possible. So please be as honest as possible when filling in the questionnaire as it will help us to best find a new home for your dog.

Surrender Form

Dog's Name

Breed

Dog's Age

Is The Dog Spayed/Neutered

Yes

No

Is the Dog Microchipped?

Yes

No

Microchip Number:

Is The Dog Up To Date With Vaccinations?

Yes

No

If Yes, Does This Include Kennel Cough?

Yes

No

Does The Dog Currently Live With Children?

Yes

No

If Yes, Please State How The Dog Is With Them

What Ages Are Your Children? (Separate by a Comma)

Does The Dog Currently Live With Other Dogs?

Yes

No

If Yes, How Do They Get On With Them? What Size Are They? How Many Are there?

Does The Dog Currently Live With Cats?

Yes

No

If Yes, Please State How They Are With Them.

Please State The Reason For Rehoming. Do Be Very Honest, We Are Not Here To Judge And It Will Help Us Find The Right Home.

I agree that by completing this document, I am not committing to anything and still retain full ownership of the dog until such time as it is mutually agreed to pass the dog into the full care of Pawprints to Freedom Rescue.